NPI 1821442237 · live from the CMS NPI Registry
Mansoor Ahmed
Podiatrist in Brooklyn, NY. National Provider Identifier 1821442237, active.
NPI record
| NPI | 1821442237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 121 Dekalb Ave, House Staff Administration, Brooklyn, NY 11201 |
| Practice phone | 718-250-8000 |
| Mailing address | 404 Woodside Dr, Wood Dale, IL 60191 |
| Enumerated | April 21, 2016 |
| Last updated | August 29, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Podiatrist primary | 213E00000X | 016005836 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.